International Medical Journal

Journal ID : IMJ-28-12-2022-1574

Total View : 419

Title : VASAPREVIA-A BLOODY CASCADE AND NARROW ESCAPE

Abstract : Vasaprevia is a condition where vessels passing from the fetus to the placenta that is not protected by placental tissue or the channel, pass as regards to the cervix. These blood vessels are very delicate and may get torn during labour. Significant perinatal mortality and morbidity are associated with this obstetric condition. Placental abnormalities, like velamentous cord insertion, can occur with vasaprevia. Vessels from the umbilical cord instead of directly into the placenta go through a part of the chorionic membrane in velamentous cord insertion. Therefore more chances of fetal haemorrhage are observed during the rupture of fetal membranes as the blood vessels are not protected by Wharton's jelly around the cord. About 1/2500 to 1/5000 deliveries exhibit a prevalence of vasaprevia. If vasa previa is not diagnosed before birth may result in a fetal mortality rate nearly approaching 60%. Presenting a case of vasa previa diagnosed on placental examination after cesarean section indicated for antepartum haemorrhage. A 23-year-old, G2P1L1, 32weeks 4days, previous LSCS with DCDA twins who had antepartum haemorrhage (APH), underwent emergency LSCS at our institution and was subsequently diagnosed to posses vasa previa on placental examination. Two healthy babies were successfully delivered. This is a report on our management of a case of Antepartum haemorrhage because of vasaprevia..
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International Medical Journal

Journal ID : IMJ-27-12-2022-1573

Total View : 444

Title : EVALUATION AND CORRELATION OF DISEASE SEVERITY WITH CLINICO RADIOLOGICAL AND PULMONARY FUNCTION PARAMETERS IN POST COVID19 PATIENTS

Abstract : To understand the pulmonary effects of post COVID19 this prospective observational study was undertaken.105 post COVID19 patients were assessed at 3, 6, 9 and 12 months by Clinical symptoms, Pulmonary function by Spirometry and DLCO, Exercise capacity by 6MWT and SPO2, radiologically by Chest X-ray and CT (if required), Health related quality of life (HRQOL). Patients were categorized as mild (71%), moderate (23%) and severe (6%). The predominant symptom at 3 months were fatigue (35.2%), cough (23.8%) and breathlessness (19%). The mean values of all parameters at 3, 6, 9 and 12 months were calculated. All parameters except 6MWT showed statistically significant improvement. In severe category the improvement was slow especially DLCO with residual clinical symptoms..
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International Medical Journal

Journal ID : IMJ-21-12-2022-1572

Total View : 368

Title : Evaluation of the impact of smartphone addiction on stress level and satisfaction with life among AIMST Dental Students

Abstract : This study aims to evaluate the impact of smartphone addiction on stress levels and satisfaction with life among AIMST Dental students and by this study, we want to create awareness among the dental students on the implications of smartphone addiction. This study was conducted at the Faculty of Dentistry, AIMST University, Kedah, targeted 250 dental students with a sample size of 200. An online questionnaire consisting of Addiction Scale-Short version (SAS-SV), followed by Perceived Stress Scale (PSS) (Cohen, Kamarck, & Mermelstein, 1983) and Satisfaction with Life Scale (SwLS) (Diener, Emmons, Larsen, & Griffin, 1985) was distributed amongst the Year 1, 2, 3, 4 and 5 students. The data was analyzed by using Statistical Package for the Social Sciences (SPSS). Results of this study showed the existence of a positive relationship between smartphone addiction and stress, a negative relationship between perceived level of stress and satisfaction with life and there was zero order correlation between smartphone addiction and satisfaction with life..
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International Medical Journal

Journal ID : IMJ-14-12-2022-1571

Total View : 464

Title : Excessive Daytime Sleepiness in Relation to Academic performances among AIMST Medical Students

Abstract : This study aimed to examine the prevalence of daytime sleepiness among AIMST medical students and to explore its relationship with academic performance. A total of 150 consenting AIMST medical students aged 18 and above participated in this cross-sectional survey done in AIMST University, Sungai Petani, Kedah, Malaysia. All subjects answered a generalized questionnaire that was piloted and included information on demographics, Grade Point Average (GPA) and Epworth-sleepiness scale (ESS). Excessive daytime sleepiness was observed in 32.7% of the subjects. Only 7 (4.7%) of the subjects had less than 4 hours of sleep while majority (45.3%) fell within 4-6 hours. Comparison between subjects with normal sleep versus those with excessive daytime sleepiness revealed significant differences, including Grade Point Average (GPA) scores..
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International Medical Journal

Journal ID : IMJ-04-12-2022-1569

Total View : 486

Title : Continuity of primary care for patients with chronic diseases during the COVID-19 pandemic

Abstract : Continuity of care represents the assurance granted to patients of having care that is uninterrupted over time, consistent and compatible with their needs. The objective of this article was to describe the continuity of care in the public and private sectors for patients with chronic diseases during the COVID-19 pandemic, from the perspective of primary health care (PHC) professionals. A descriptive mixed-method study was conducted among PHC professionals working in primary care centres in the public sector, as well as doctors working in the private sector in Marrakech. The data was collected using a self-administered questionnaire and semi-structured interviews. For the quantitative component, the descriptive bivariate analysis was conducted by using SPSS V19.0. For the qualitative component, data were analyzed by content analysis using Nvivo V10.0. The scores for 5 of the 6 dimensions of continuity of care were ≤3. These dimensions could not be realized more in the public sector than in the private sector. These included giving advice to patients (88.6% vs. 11.4%, p =.040), showing interest (94.3% vs. 5.7%, p <.001), answering questions (95.8% vs. 4.2%, p <.001), maintaining confidentiality (97.2% vs. 2.8%, p <.001) and delivering the expected assistance (90.1% vs. 9.9%, p <.001). The results of the verbatim analysis revealed the impact on the same dimensions. Continuity of care for patients with chronic diseases was compromised during the COVID-19 pandemic, especially in the public sector..
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International Medical Journal

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Submission Deadline ( Vol 30 , Issue 09 )
20 Sep 2023

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Publish On ( Vol 30 , Issue 07 )
31 Jul 2023